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Doctor insights on: Pulmonary Hypertension Vs High Blood Pressure

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Would pulmonary hypertension cause high blood pressure?

Would pulmonary hypertension cause high blood pressure?

Blood pressure: Usually when there is pulmonary hypertension of significance, there is normal or decreased systemic blood pressure. Sometimes in the early phase of pulmonary hypertension there can be systemic hypertension but not when right heart dysfunction results from the elevated pulmonary resistance ...Read more

Dr. Mark Ingerman
323 doctors shared insights

Hypertension (Definition)

A blood pressure reading has two numbers: a systolic blood pressure and a diastolic blood pressure. The systolic blood pressure is the maximum pressure the blood exerts on the vessels when the heart is beating. The diastolic blood pressure is the pressure the blood exerts on the vessels in between heartbeats. Hypertension, or high blood pressure, begins when the systolic blood pressure remains above 140 or when the diastolic blood pressure remains above 90. Hypertension can be a result of increased blood flow through vessels or increased resistance to ...Read more


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What is the differance between high blood pressure and pulmonary hypertension? My diastolic # has been typucalky around 115 w sone shortness breath.

What is the differance between high blood pressure and pulmonary hypertension? My diastolic # has been typucalky around 115 w sone shortness breath.

Could be your heart: Pulmonary hypertension is too much pressure in the arteries in your lungs. It isn't something you can measure directly. Your blood pressure reading measures pressure in the rest of your body. If it's too high, that can weaken your heart. An echocardiogram can tell what's going on. A diastolic blood pressure of 115 is certainly too high, although asthma can make you short of breath, which raises bp. ...Read more

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Can high blood pressure cause pulmonary hypertension without the pulmonary vessels constricting?

Can high blood pressure cause pulmonary hypertension without the pulmonary vessels constricting?

PULMONARY PRESSURES: Hypertension can cause a myriad of problems ranging from systemic to isolated organ damage (eyes, kidneys). Pulmonary hypertension is "high pulmonary vascular pressures" typically due to a filling issue upon return to the heart (obstruction) or an intrinsic problem of the tissue of the lung itself (stiffness). High blood pressure can worsen pulmonary hypertension but it does not cause it, per se ...Read more

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Can you have normal blood pressure with pulmonary hypertension?

Can you have normal blood pressure with pulmonary hypertension?

Yes: Many times, you can have normal blood pressure with pulmonary hypertension. But, in the latest stages of pulmonary hypertension, the blood pressure can be low because there is no flow to the right heart which then translates into a low blood pressure. ...Read more

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I have high lung pressure after pulmonary embolism, could I have pulmonary hypertension now?

I have high lung pressure after  pulmonary embolism, could I have pulmonary hypertension now?

PE and PH: While it is an uncommon condition, what you describe is certainly possible. Pulmonary hypertension (ph) is abnormally high blood pressure in the arteries of the lungs which can be caused by pulmonary embolism (pe) or blood clots that do not adequately resolve. ...Read more

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My RV pressure is 25-30 mHg does this suggest possible pulmonary hypertension?

My RV pressure is 25-30 mHg does this suggest possible pulmonary hypertension?

Couple of questions: How was this number obtained? Catheterization? Echo? Normal right ventricular systolic pressure is typically about 20 - 30% of your systemic systolic blood pressure (SBP) (higher number of your regular blood pressure). Readings must be taken nearly simultaneously to be useful. If your SBP is more than 90, I would not be super concerned. Also depends on your risk; diseases leading to pulm HTN? ...Read more

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What is the difference between severe pulmonary hypertension and raised jugular venous pressure? Do they always coincide?

What is the difference between severe pulmonary hypertension and raised jugular venous pressure?  Do they always coincide?

Difficult to discern: The real test called jvp was designed to determine presence of heart failure or fluid overload. The presence of high pressure against which the right ventricle has to work in pah causes the exaggerated bulging back of the tricuspid in rv systole and also causes jvp. Tricuspid stenosis thus would do the same thing. ...Read more

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Can echos show pulmonary hypertension if you don't have it just because your body is full with fluid? I have polydipsia & changing pulmonary pressures

Can echos show pulmonary hypertension if you don't have it just because your body is full with fluid? I have polydipsia & changing pulmonary pressures

Interesting question: Elevation of pulmonary pressures can result from volume overload, particularly when there is left heart failure. A normal right heart, however, can compensate for increased volume for a period, preventing increases in pressure. When persistent stresses lead to structural changes in the cells of the right heart, it cannot compensate further and increased pressure results and by echo indices of PHT ...Read more

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My lung pressure is 55 now, is that still pulmonary hypertension?

My lung pressure is 55 now, is that still pulmonary hypertension?

Indication : Elevated pulmonary artery pressure (like 50 mm hg) is highly suggestive of pulmonary hypertension but not diagnostic. For diagnosis, you need a heart catheterization. ...Read more

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Had echo 30d ago => diagnosed pulmonary hypertension (pressure 50), yesterday again the diagnose was questioned (pressure 33). Why ups and downs?

PA pressure: Measurement of PA pressure besides body position has technical factors which can influence what the reader interprets as the PA pressure. Some of these factors can produce a false impression of elevated or lesser PA pressure. In general we try to take the whole clinical picture into consideration when interpreting the study. ...Read more

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Can you have idiopathic pulmonary hypertension with normal blood oxygen levels? Does the level of oxygen in your blood correlate to the degree of PH?

Can you have idiopathic pulmonary hypertension with normal blood oxygen levels? Does the level of oxygen in your blood correlate to the degree of PH?

Yes, no: The problem in primary pulmonary hypertension is getting blood through the lungs, not oxygenating it. This causes all kinds of misunderstanding. Since pO2 is easy to measure and pulmonary vascular resistance / blood pressure isn't, it's easy to forget how sick these folks are. ...Read more

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Would you consider a pressure of pulmonary hypertension of 40-50 in echo something requiring treatment? If so, what?

Would you consider a pressure of pulmonary hypertension of 40-50 in echo something requiring treatment? If so, what?

RVSP Moderate PHTN: Symptoms are important in this case. Things that could elevate the pressure in your right ventricle could be. - Mitral Regurgitation (eleveating your PCWP or Capillary wedge pressure) - Diastolic/Systolic Dysfunction - Pulmonary Valve Stenosis - Pulmonary emboli If you are having symptoms. Echocardiogram would be useful and depending of situation possible ...Read more

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Pulmonary hypertension with lung pressure of 48 is that treatable and considered mild?

Pulmonary hypertension with lung pressure of 48 is that treatable and considered mild?

Mild PH: Pulmonary hypertension (ph) is often first detected by echocardiogram which estimates the pulmonary artery systolic pressure. The diagnosis is confirmed by right heart catheterization which measures mean pulmonary artery pressure and resistance. I don't know which pressure you are referencing. Nonetheless, you need to discuss the significance with your physician. ...Read more

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I have moderate pulmonary hypertension (pressure 37) and severe sleep apnea(94 times an hour on asvmachine) could my pH be reduced if my sleep apnea

I have moderate pulmonary hypertension (pressure 37) and severe sleep apnea(94 times an hour on asvmachine)  could my pH be reduced if my sleep apnea

Questionable: Treating sleep apnea will decrease the rate of progression of phtn. Treating your severe sleep apnea also has other benefits for your body. It reduce the chance of stroke or heart attacks. Untreated people with sleep apnea live five years less than people without sleep apnea. ...Read more

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Please answer this, with pulmonary hypertension what can I do to relieve the heavy pressure on my chest, c-pap makes my lungs hurt + causes pressure?

Medications: This is a complex issue. I'm guessing here that your pulmonary HTN is due to sleep apnea. Your CPAP pressure might need to be adjusted, maybe masked changed. Depending on your condition's severity, you might need certain medications to lower pressure in your lungs. If overweight, i would strongly suggest mild to moderate exercise with targeted weight loss thru diet. ...Read more

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It is possible to close the 13.6mm asd in my 10yo daughter with pulmonary hypertension lung pressure 140?

It is possible to close the 13.6mm asd in my 10yo daughter with pulmonary hypertension lung pressure 140?

Management decisions: It really depends on a number of parameters and conditions. The number that you wrote for pulmonary pressure is very high, and a cardiac catheterization will include a test of therapies to try to reduce the pressure. I would suggest that your daughter discuss the options with a cardio thoracic surgeon and pediatric cardiologist. ...Read more

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Does a ordinary heart echo include checking the pulmonary arterial pressure and does a normal echo rule out pulmonary hypertension?

Does a ordinary heart echo include checking the pulmonary arterial pressure and does a normal echo rule out pulmonary hypertension?

Typically an estimat: Echocardiography typically estimates pulmonary artery pressure indirectly. PA pressure is measured directly with heart catheterization. Echo is a good screening test. ...Read more

Dr. Tiffanie Noonan
2 doctors shared insights

Blood Pressure (Definition)

Blood pressure is a measurement of the force placed on the blood vessels and is comprised of the "systolic" pressure (the top number on a blood pressure meter) which is the peak pressure when the heart is pumping, and the "diastolic" pressure (the bottom number on a blood pressure meter) which is the pressure during the resting phase ...Read more


Dr. Charles Burger
305 doctors shared insights

Pulmonary Hypertension (Definition)

Elevated blood pressure in the lungs that can be a primary problem or due to other causes. The right side of the heart pumps blood to the lungs and if the blood pressure in the lungs is elevated, the right side of the heart can fail. Pulmonary hypertension can be difficult to diagnose and usually requires echocardiography ...Read more